<!DOCTYPE html>
<html>
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
	<div class="wrapper wrapper-content ">
		<div class="row">
			<div class="col-sm-12">
				<div class="ibox float-e-margins">
					<div class="ibox-content">
						<form class="form-horizontal m-t" id="signupForm">
						<input id="id" name="id" th:value="${fix.id}"  type="hidden">
							<div class="form-group">	
								<label class="col-sm-3 control-label">记录时间：</label>
								<div class="col-sm-8">
									<input id="rDate" name="rDate" th:value="${fix.rDate}" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">设备名称：</label>
								<div class="col-sm-8">
									<input id="devName" name="devName" th:value="${fix.devName}" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">故障说明：</label>
								<div class="col-sm-8">
									<input id="errInfo" name="errInfo" th:value="${fix.errInfo}" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">数量：</label>
								<div class="col-sm-8">
									<input id="quantity" name="quantity" th:value="${fix.quantity}" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">返修时间：</label>
								<div class="col-sm-8">
									<input id="repairDate" name="repairDate" th:value="${fix.repairDate}" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">返修快递单号：</label>
								<div class="col-sm-8">
									<input id="repairExpress" name="repairExpress" th:value="${fix.repairExpress}" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">回寄时间：</label>
								<div class="col-sm-8">
									<input id="returnDate" name="returnDate" th:value="${fix.returnDate}" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">回寄快递单号：</label>
								<div class="col-sm-8">
									<input id="returnExpress" name="returnExpress" th:value="${fix.returnExpress}" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">报备人：</label>
								<div class="col-sm-8">
									<input id="reportName" name="reportName" th:value="${fix.reportName}" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">客户单位名称：</label>
								<div class="col-sm-8">
									<input id="clientDept" name="clientDept" th:value="${fix.clientDept}" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">设备状态：</label>
								<div class="col-sm-8">
									<input id="status" name="status" th:value="${fix.status}" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">备注：</label>
								<div class="col-sm-8">
									<input id="memo" name="memo" th:value="${fix.memo}" class="form-control" type="text">
								</div>
							</div>
																					<div class="form-group">
								<div class="col-sm-8 col-sm-offset-3">
									<button type="submit" class="btn btn-primary">提交</button>
								</div>
							</div>
						</form>
					</div>
				</div>
			</div>
	</div>
	</div>
	<div th:include="include::footer"></div>
	<script type="text/javascript" src="/js/appjs/system/fix/add.js">
	</script>
</body>
</html>
